Active NPI
Randy Jack Simpkins
- Physician Assistant
- Louisville, KY
National Provider Identifier
1386367902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC160
- Practice address
- 231 E Chestnut St
Louisville, KY 40202-1821 - Phone
- (502) 588-7450
- Fax
- (502) 588-7728
- NPI assigned
- Sep 20, 2022
- Last updated
- Jun 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC160 | KY | Primary |
Addresses
Primary practice location
231 E Chestnut St
Louisville, KY 40202-1821
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Phone (502) 559-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- New Albany, IN
- NPI 1194869255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1386367902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776879",
"telephone_number": "502-559-9411",
"fax_number": "502-272-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021821",
"telephone_number": "502-588-7450",
"fax_number": "502-588-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPKINS",
"first_name": "RANDY",
"middle_name": "JACK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Steven Jack Simon, PH.D.
- Linda Susanna Simonis, LINDA SIMONIS
- Ruth Margaret Simons, MD
- Serenity Simons
- Shirley Simons, APRN
- Simplicity Health Billing and Staffing LLC
- Simplicity Health Nursing Home
- Simplicity Monitoring and Diagnostics LLC
- Simplicity Transitional Health LLC
- Simplistic Urgent Care, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.